Hysterosalpingography and ultrasonography findings of female genital tuberculosis

• Published in: Diagnostic and interventional radiology (Ankara, Turkey) Vol. 21; no. 1; pp. 10 - 15
• Main Authors: Shah, Hardik Uresh, Sannananja, Bhagya, Baheti, Akshay Dwarka, Udare, Ashlesha Satish, Badhe, Padma Vikram
• Format: Journal Article
• Language: English
• Published: Turkey Aves Yayincilik Ltd. STI 01-01-2015; Turkish Society of Radiology; Galenos Publishing House
• Subjects: Abdominal Imaging; Adult; Early Diagnosis; Female; Genitalia, Female - diagnostic imaging; Genitalia, Female - pathology; Humans; Hysterosalpingography - methods; Infertility, Female - diagnostic imaging; Infertility, Female - etiology; Tuberculosis, Female Genital - diagnostic imaging; Tuberculosis, Female Genital - pathology; Young Adult
• ISSN: 1305-3825; 1305-3612
• DOI: 10.5152/dir.2014.13517

Genital tuberculosis (TB) is an important cause of female infertility in the world, especially in developing countries. Majority of infertility cases are due to involvement of the fallopian tubes (92%-100%), endometrial cavity (50%), and ovaries (10%-30%); cervical and vulvovaginal TB are uncommon. Genital TB has characteristic radiological appearances based on the stage of the disease process (acute inflammatory or chronic fibrotic) and the organ of involvement. Hysterosalpingography (HSG) and ultrasonography (US) remain the main imaging modalities used in the diagnosis of genital TB. HSG is the primary modality for evaluating uterine, fallopian tube, and peritubal involvement and also helps in evaluating tubal patency. US, on the other hand, allows simultaneous evaluation of ovarian and extrapelvic involvement.